Taylor, Thea M
Taylor, Thea M is an individual health care provider with primary practice located at 618 W Main St #102, League City TX 77573-3773. She recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as her primary health care specialty. Taylor, Thea M can be contacted via phone (281) 332-4476.Contact Information
Primary practice address
618 W Main St #102
League City TX 77573-3773
Phone: (281) 332-4476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 10254 | Texas |
Profile Details
| NPI number | 1477510048 |
|---|---|
| LBN Legal business name | Taylor, Thea M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477510048 | NPPES |
| Texas | Other | 8V3120 | BLUE CROSS/BLUE SHEILD TX |
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